Hanging apparatus for fixing a medical device to a substantially horizontal or substantially vertical support structure

ABSTRACT

A hanging apparatus is provided that facilitates the attachment of a medical instrument to a support structure. The mechanism includes a generally longitudinal, telescoping assembly that extends outward from the back of the medical instrument and positions a rotatable arm to serve as one face of a clamp, opposing the back of the medical instrument as the second face of the clamp. The mechanism assembly includes a cylindrical shaft that extends outward against the tension force of a spring from a housing component of the assembly. A cam mechanism within the hanging apparatus allows for locking and tightening of the clamp against the support structure after closure of the clamp under the influence of the tensioning spring.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.11/903,209 filed Sep. 19, 2007 now U.S. Pat. No. 7,770,855, which claimsthe benefit of U.S. Provisional Application No. 60/845,993, filed Sep.19, 2006, both which are hereby incorporated by reference.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates generally to hanging mechanisms and inparticular to a hanging apparatus for fixing a medical device to asupport structure.

2. Description of Related Art

Patients within hospital and extended health care settings frequentlymust utilize medical instrumentation and other medical devicesassociated with the monitoring and/or treatment of a variety ofconditions. Such instruments and devices that often must be positionedin close proximity to the patient, range from simple blood pressure andtemperature monitoring devices to more complex gas and fluid pumps orreduced pressure treatment system devices. While some of theseinstruments are constructed and positioned on their own moveable cartsor wheeled carriages, many more are sized and structured so as torequire placement on a tabletop or on some other support fixtureassociated with the patient's location.

A common structure utilized to retain such medical instruments anddevices is an IV pole, so named because of its primary purpose ofhanging an intravenous (IV) solution bag or container for administrationof fluids to the patient. IV poles are typically fitted with wheeledstands that allow the pole to be moved, especially with a patient thatis ambulatory. This wheeled stand structure also permits the IV pole andthe associated objects it supports to be moved in and out of thepatient's locale as needed.

The use of IV poles is sufficiently prevalent that many medicalinstruments and devices have been structured with brackets and/or clampsthat are sized and shaped to be fixed to the vertically oriented polestructure. These brackets and/or clamps sometimes take the form of clipsor screw-tightened enclosures. The vertical orientation of these clamps,however, makes it difficult to use the same attachment structure on anyobject other than the vertically structured IV pole.

Other structures typically found in close proximity to patientsrequiring the use of medical instruments and devices are hospital typebed frames and patient wheelchairs. Each of these latter two structureswill generally present horizontal bars, rails, or the like to whichmedical instruments and devices might be attached if they are soconfigured to receive and retain the horizontal bar structures. Ingeneral, however, the clamp or attachment structures associated withmedical devices and instruments do not lend themselves to easymodification between a structure that is appropriate for attachment to avertical pole and a structure appropriate for attachment to a horizontalbar.

It would be desirable to have a clamping or attachment device capable ofeasy structural modification such that the same device could serve toattach a medical instrument or medical device to a vertically orientedstand, such as an IV pole, or to a horizontally oriented stand, such asa hospital bed railing or a bar associated with a wheelchair. It wouldbe desirable if the attachment mechanism could be easily switchedbetween an orientation appropriate for horizontal attachment and anorientation appropriate for vertical attachment. It would be desirableif this versatility in attachment orientation was accompanied by asecure closure in either orientation, such that the medical instrumentor medical device was unlikely to become dislodged from the supportstructure.

It would further be beneficial if, in the use of the clamp or attachmentmechanism, a definitive indication of the secure state of the clampcould be provided.

BRIEF SUMMARY OF THE INVENTION

In fulfillment of the above and other objectives, one illustrativeembodiment provides a clamping mechanism that facilitates the attachmentof a medical instrument or device to an IV pole, a bed, or a wheelchairstructure. The mechanism incorporates components that allow its use inconjunction with either a vertically oriented support structure (such asan IV pole) or a horizontally oriented support structure (such as a bedrail or a wheelchair rail). The mechanism includes a generallylongitudinal, telescoping assembly that extends outward from the back ofthe medical instrument and positions a rotatable arm to serve as a clampopposing the back of the medical instrument or device. The mechanismassembly includes a cylindrical shaft that extends outward (against thetension force of a spring) from a housing of the medical instrument.Cammed surfaces within internal rotating components of the clampingmechanism assembly allow for tightening of the clamp against the supportstructure after closure of the clamp under the influence of thetensioning spring. A knob allows the user to rotate the internalcomponents of the assembly to further engage the cammed surfaces andtighten (close) the clamp against the support structure.

Other objects, features, and advantages of the illustrative embodimentswill become apparent with reference to the drawings and detaileddescription that follow.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A is a perspective view of a medical instrument incorporating ahanging apparatus according to an illustrative embodiment, the hangingapparatus being oriented in a vertical position for attachment to ahorizontally-oriented support structure;

FIG. 1B is a perspective view of the medical instrument of FIG. 1Aaffixed to the horizontally-oriented support structure;

FIG. 2A is a perspective view of the medical instrument of FIG. 1A, theclamping incorporating the hanging apparatus being oriented in ahorizontal position for attachment to a vertically-oriented supportstructure;

FIG. 2B is a perspective view of the medical instrument of FIG. 2Aaffixed to the vertically-oriented support structure; and

FIG. 3 is an exploded perspective view of the components of the hangingapparatus of FIG. 1A.

DETAILED DESCRIPTION OF THE ILLUSTRATIVE EMBODIMENTS

In the following detailed description of the illustrative embodiments,reference is made to the accompanying drawings that form a part hereof,and in which is shown by way of illustration specific embodiments inwhich the invention may be practiced. These embodiments are described insufficient detail to enable those skilled in the art to practice theinvention, and it is understood that other embodiments may be utilizedand that logical structural, mechanical, electrical, and chemicalchanges may be made without departing from the spirit or scope of theillustrative embodiments. To avoid detail not necessary to enable thoseskilled in the art to practice the illustrative embodiments, thedescription may omit certain information known to those skilled in theart. The following detailed description is, therefore, not to be takenin a limiting sense, and the scope of the illustrative embodiments isdefined only by the appended claims.

The hanging apparatus described herein may be easily manufactured aspart of an original equipment structure for a medical instrument or amedical device that is to be positioned adjacent a patient requiring useof the instrument. The hanging apparatus may also, in certaincircumstances, be retrofit into existing devices where space within thedevice enclosure allows such placement. In either case, the first stepin utilizing the benefits of the assembly is to determine if the medicaldevice or instrument must be attached to an IV pole, to a bed railing,or to a wheelchair frame component. In some instances, it may bepossible to choose between the various support structures for theinstrument, and to select that support platform most advantageous to thepatient, or most unobtrusive to the patient's environment.

If an IV pole is to be utilized to support the medical instrument, thenthe hanger arm structure of the present invention is positioned in asubstantially horizontal position so as to engage the verticalorientation of the IV pole. If the instrument is to be positioned on abed or a wheelchair, the arm of the hanger may be positioned in asubstantially vertical orientation by rotating the arm downward from thehorizontal orientation approximately 90 degrees. After rotation, theclamping mechanism assembly is pulled outward from the back of themedical instrument by gripping a knob positioned on the end of theassembly. The mechanism is then pulled out in telescoping fashionagainst the force of an internal spring, and the arm is placed aroundthe pole (in the case of an IV pole) or over the railing of the bed orframe of the wheelchair (in the case of a horizontal support structure).The user then gradually releases the mechanism under the spring tensionby allowing the assembly to return towards the back of the instrument tothe point where the arm and the back of the instrument each come intocontact with the pole or railing. This spring tension is sufficient toclose the arm against the horizontal or vertical support structure butis not sufficient to retain the instrument tightly against the supportstructure as gravity acts on the instrument.

In order to tightly secure the clamp around the support structure, theknob is turned clockwise until an arrow indicator on the device (on theback face of the instrument) lines up with a “locked” symbol on theknob, or an audible click is heard representing the position of theassembly in a detent associated with this stepwise rotation. Themechanism is thereby positioned in a locked condition. To furtherincrease the force of the clamp against the longitudinal supportstructure, the knob may be further turned clockwise in a manner that,due to the internal configuration of the assembly described in moredetail below, draws the clamp arm further in towards the back face ofthe instrument and thereby increases the clamping force against thesupport structure.

To remove the clamping mechanism assembly (and the medical instrument),the process is generally reversed. The knob is turned counterclockwiseuntil the arrow indicator on the instrument lines up with an “unlocked”symbol on the knob. Once again, the mechanism may then be pulled outwardfrom the back of the medical instrument or device, again under springtension, to the point where the support structure (vertical orhorizontal) is released from the clamping enclosure. The medicalinstrument may then be removed from the support structure forrepositioning or removal from the patient environment. The detailedmanner in which the hanging apparatus of the present invention operatesto achieve the above functionality is now described in detail.

Reference is made to FIGS. 1A, 1B, 2A, and 2B for a brief description ofthe primary external components of a hanging apparatus 30 according toan illustrative embodiment and the manner in which the hanging apparatusis associated with a medical instrument or a medical device. In theexample shown in FIG. 1A, a reduced pressure treatment pump 10 is sizedand structured to be appropriate for placement in close proximity to apatient undergoing, for example, reduced pressure tissue treatment.Instrument 10 in this case includes a handle 12 for portabilitypositioned on the top of instrument housing 14. Of particular importanceto the use and application of the illustrative embodiment is thestructure of the back panel 16 of instrument 10, which structure isdescribed in more detail below. Also disclosed in FIG. 1 are the primaryexternal components associated with hanging apparatus 30. In this viewshown in FIG. 1A, a knob 32, a clamp arm 34, a clamp shaft 36, and aclamp housing 38 are each disclosed. It should be noted that theorientation of clamp arm 34 shown in FIGS. 1A and 1B is suitable forpositioning medical instrument 10 on a horizontally oriented supportstructure 24.

The construction of medical instrument 10 shown in FIGS. 1A, 1B, 2A, and2B is preferably designed to work in complimentary fashion with hangingapparatus 30. The back panel 16 of medical instrument 10 is structuredto facilitate attachment to either a horizontal or vertical supportstructure. A vertical channel 18 is formed into back panel 16 ofinstrument 10 appropriate for receiving a vertically oriented supportstructure (as shown in more detail in FIGS. 2B). Horizontal channel 20is likewise configured to facilitate retention of a horizontallyoriented support structure 24 as shown in FIG. 1B. Horizontal channel 20is positioned on back panel 16 immediately below the placement ofhanging apparatus 30 in such a manner that the simple positioning ofinstrument 10 over the horizontal support structure 24 lands the supportstructure into channel 20 and against the underside of hanging apparatus30. Gravity inclines the placement of instrument 10 into thisconfiguration.

Further facilitating the placement of instrument 10 over and inassociation with a horizontal support structure 24, are guide extensions22. Positioned above channel 20 and substantially in-line with hangingapparatus 30, guide extensions 22 serve to further facilitate theplacement of instrument 10 on top of and tightly against a horizontalsupport structure 24. When utilized in the vertical orientation,described below in conjunction with FIGS. 2A and 2B, one of the twoguide extensions 22 continues to facilitate the positioning ofinstrument 10 on the vertically oriented support structure.

FIGS. 2A and 2B, as mentioned above, illustrates hanging apparatus 30with clamp arm 34 positioned in a substantially horizontal positionsuitable for facilitating the clamping attachment of instrument 10 to avertical support structure 26 (shown in dashed outline). FIGS. 2A and 2Btherefore represent the configuration appropriate for use in conjunctionwith an IV pole or the like. FIGS. 1A and 1B, on the other hand,disclose the configuration appropriate for use in conjunction with a bedrail or a wheelchair frame or the like.

In use, prior to placement on the support structure, clamp arm 34 isrotated into the appropriate configuration dependent upon the supportstructure orientation being utilized. By internal mechanisms that aredescribed in more detail below, the spring tensioned features of thehanging apparatus 30, pull clamp arm 34 into contact with the supportstructure (whichever direction it is oriented) at which point the userrotates knob 32, preferably in a standard clockwise tighteningdirection, to further secure hanging apparatus 30 against the supportstructure component. It should be noted that the orientation of thevarious structures described above are such that in either case, a looseclamp does not result in a completely open clamp such that theinstrument 10 might fully dislodge from the support structure. In thehorizontal orientation shown in FIG. 1, a loose clamp would still retainthe instrument 10 in close proximity to the horizontal support structureby the force of gravity downward on the instrument. Only after someloosening of the clamp, by telescoping movement outward as against thetension of the internal spring, would the instrument be removable fromthe horizontal support structure. Likewise, in conjunction with thevertical orientation shown in FIGS. 2A and 2B, the length of the clamparm 34, and its position proximate to the guide extension 22, is suchthat mere loosening of the clamp does not create an opening sufficientalone for removal of the instrument from the clamp enclosure. While thecomponents of hanging apparatus 30, again as described in more detailbelow, are such as to generally prevent the loosening of the clamp undernormal use, these further structural features help prevent anysignificant dislodgement of the instrument from the chosen supportstructure.

Reference is now made to FIG. 3 for a more detailed description of thevarious components of the hanging apparatus 30 shown generally in FIGS.1 & 2. For reference, hanging apparatus 30, shown in FIG. 3, includesthe external components described above, namely knob 32, clamp arm 34,and clamp shaft 36. Additionally, clamp housing 38 is fully disclosed inFIG. 3 wherein only the external face of clamp housing 38 is visible inFIGS. 1A, 1B, 2A, and 2B. As illustrated in FIG. 3, hanging apparatus 30may be constructed wholly separate from the structure and components ofinstrument 10, and may in fact be later assembled into instrument 10, aslong as appropriate accommodations are made within the instrumentenclosure to receive and retain the assembly.

The components of hanging apparatus 30 are selected, structured, andpositioned to accomplish three basic functions. The first function, inthe process of securing the medical instrument to the support structure,is the ability to open and extend the clamp to receive the supportstructure for attachment. A second function is the free rotation ofclamp arm 34 through at least a 90° movement so as to orient the arm foreither vertical or horizontal attachment. To fulfill a third function,the components are structured to permit a tightening of the clamp,beyond the force of the tension spring, through the use of cammedsurfaces that draw the clamp inward upon rotation of the knob of theclamp assembly. The components that achieve each of these functions aredescribed in more detail below.

Clamp housing 38 is structured and sized to rotatably receive clampshaft 36 to a point where clamp arm 34 comes into near contact with theoutward face of clamp housing 38. Housing cover 42 provides both a meansfor closing clamp housing 38 (after the insertion of the balance of theassembly components) and, structured as shown in FIG. 3, a means forretaining the entire hanging apparatus 30 within the instrumentenclosure utilizing the preferenced clips shown on the top of housingcover 42 and on the sides of housing 38.

The view in FIG. 3 shows further detail of the components associatedwith the external structures of hanging apparatus 30. These include aclamp face plate 44, configured to be positioned with and retained byclamp arm 34 as shown. A notch or channel in clamp face plate 44 isdesigned to receive and center the longitudinal pole or railing to whichthe device is to be clamped. This channel aligns with and opposes eitherof the two similar channels 18 and 20 described above in associationwith FIGS. 1A, 1B, 2A, and 2B. In this manner, a pole or bar of varyingdiameters may be accommodated within the structures of the clamp of theillustrative embodiments. In the preferred embodiment, clamp face plate44 may be constructed of a resilient elastomeric material or the like tofacilitate clamp tightening.

Knob 32 is shown as it is positioned at one end of clamp shaft 36,placing clamp arm 34 between the knob 32 and the shaft 36. In thepreferred embodiment, clamp arm 34 is rigidly fixed to and rotates withshaft 36. Set screw 54 is positioned within knob 32 to engage internalshaft 40 and fix knob 32 to the end thereof. This connection and itsfunction are described in more detail below.

Reference is again made to FIG. 3 for a more detailed description of theinternal components of the hanging apparatus 30 and the manner in whichthey operate to accomplish each of the functions described above.Internal shaft 40 is designed to move freely in a longitudinal directionout from clamp housing 38 under the influence of its attachment to knob32 and its concentric positioning within tubular shaft 36. Set screw 54passes through an aperture in knob 32 and engages an aligned aperture ina proximal end of internal shaft 40. Positioned inside of internal shaft40 is tension spring 50, which is fixed at one end within internal shaft40 by way of set screw 54. The opposing end of tension spring 50 isfixed relative to housing 38 and/or housing 14. In this manner, theassembly components that include knob 32, clamp arm 34, clamp shaft 36,and internal shaft 40 may be drawn out from clamp housing 38 intelescoping fashion, in opposition to the tension provided by tensionspring 50, in a manner that opens the clamp to receive the supportstructure horizontal or vertical component. End plate 48, positionedwithin clamp housing 38, and through which internal shaft 40 extends,limits this longitudinal movement of the described components out fromhousing 38. End plate 48 further limits the rotational range of theinternal shaft 40 due to its interaction with second cam member 46described below. Limiting the rotational movement of the internal shaft40 prevents the locking and tightening mechanisms of the hangingapparatus 30 from separating the housing cover 42 from the clamp housing38.

In the manner of the assembled components described above, it can beseen that through the combination of hollow clamp shaft 36, attached toclamp arm 34, surrounding and rotatable about internal shaft 40, clamparm 34 may be turned between a horizontal position (suitable forengagement with a vertically oriented support structure), and a verticalposition (suitable for clamping onto a horizontal support structure).This motion therefore accomplishes the second of the three functionsmentioned above, namely the ability to re-orient clamp arm 34 and itsassociated clamp face plate 44, for engagement of either a horizontal ora vertical oriented support structure.

Finally, a cam mechanism comprising first and second cam members, 58,46, as well as a locking member 52, provide the third functionalitydescribed above, namely the ability to rotate the internal components ofthe assembly in such a manner as to further tighten the clamp againstthe support structure. First and second cam members 58, 46 includecomplementary inclined surfaces 64, 66 and are fixed relative to theinternal shaft 40. The internal shaft 40 and the cam members 58, 46 willrotate under the influence of the user turned knob 32. The lockingmember 52 is rotatably affixed to the internal shaft 40 by an attachmentspring 60. The locking member 52 is positioned on the internal shaft 40between the inclined surfaces of the first and second cam members andincludes a second plurality of teeth 68 configured to mate with a firstplurality of teeth (not shown) along a bottom surface of the housingcover 42. When the housing cover 42 is fixed to the clamp housing 38,the first plurality of teeth are aligned with the longitudinal enclosureof the clamp housing 38. When the internal shaft 40 is in an unlockedposition, the locking member 52 is positioned on a substantially flatsurface 70 of the internal shaft 40. As the internal shaft 40 is rotatedinto a locked position, the locking member 52 moves off of thesubstantially flat surface 70, which causes a radially outwarddisplacement of the locking member 52 relative to the internal shaft 40.This outward displacement causes the second plurality of teeth 66 tolockingly engage the first plurality of teeth (i.e. the lockingmechanism). Additional clockwise rotation of knob 32, and therefore ofinternal shaft 40, effects a displacement of internal shaft 40 furtherinto housing 38, and therefore closes the clamp arm 34 tighter againstthe support structure and pulls the support structure against the backof the medical instrument (i.e. the tightening mechanism). A stop member72 fixed to the second cam member 46 rotates within the end plate 48 asthe internal shaft 40 is rotated during the locking and tighteningoperations described above. A shoulder (not shown) fixed within the boreof the end plate cooperates with the stop member 72 to limit therotational range of the second cam member 46, and thus the internalshaft 40, to prevent overtightening, which could damage the hangingapparatus 30.

Internal detents or stops associated with clamp shaft 36 may be includedto allow the shaft/arm combination 36/34 to be easily positioned ineither a horizontal or vertical orientation depending upon the specificapplication of the clamp. Likewise, appropriately positioned detents orstops in association with internal shaft 40 and cammed surfaces 46, 52,and 58 allow a definitive tightening of the clamp that prevents areverse rotation of internal shaft 40 under the influence of the cammedsurfaces. Retention spring 60 is positioned to ensure that the shortrack cammed surface 52 is pulled down when the cam is rotated.

It should be apparent from the foregoing that an invention havingsignificant advantages has been provided. While the invention is shownin only a few of its forms, it is not just limited but is susceptible tovarious changes and modifications without departing from the spiritthereof.

1. A medical device hanging apparatus for facilitating the removableattachment of a medical instrument alternately to a vertical or ahorizontal longitudinal support structure, the hanging apparatuscomprising: a clamp shaft rotatable about a central longitudinal axis; aclamp arm extending orthogonally from the clamp shaft; an internal shaftpositioned within the clamp shaft; a tension spring fixed at a first endto at least one of the internal shaft and the clamp shaft; a clamphousing that receives the clamp shaft, the clamp arm positioned externalto the housing, a second end of the tension spring fixed to the clamphousing such that telescoping withdrawal of the clamp shaft from theclamp housing is resisted by the tension spring; and a rotational cammechanism, the cam mechanism positioned between the clamp housing andthe internal shaft, wherein rotation of the internal shaft directs alongitudinal movement of the internal shaft and the clamp arm to effecta displacement of the internal shaft further into the clamp housing. 2.The apparatus according to claim 1, wherein the cam mechanism furthercomprises: first and second cam members fixed to the internal shaft andhaving complementary inclined surfaces; and a locking member rotatablypositioned on the internal shaft between the complementary inclinedsurfaces of the first and second cam members, the locking memberincluding a plurality of teeth.
 3. The apparatus according to claim 1further comprising: a first plurality of teeth fixed relative to theclamp housing; wherein the internal shaft includes a substantially flatsurface; wherein the cam mechanism further comprises: first and secondcam members fixed to the internal shaft and having complementaryinclined surfaces; and a locking member rotatably positioned on theinternal shaft between the complementary inclined surfaces of the firstand second cam members and including a second plurality of teeth, thelocking member being positioned on the substantially flat surface of theinternal shaft when the internal shaft is in an unlocked position, thelocking member being moved off of the substantially flat surface whenthe internal shaft is rotated into a locked position such that thesecond plurality of teeth lockingly engage the first plurality of teeth.4. The apparatus according to claim 3, wherein subsequent rotation ofthe internal shaft after being placed in the locked position results inthe longitudinal movement of the internal shaft as the locking memberfollows the inclined surfaces of the first and second cam members. 5.The apparatus according to claim 3, wherein the first plurality of teethare disposed on a housing cover of the clamp housing.
 6. The apparatusaccording to claim 1 further comprising a clamp knob fixed to a firstend of the internal shaft in a manner that positions the clamp armgenerally between the knob and the balance of the longitudinal clampshaft.
 7. A medical device hanging apparatus for facilitating theremovable attachment of a medical instrument alternately to a verticalor a horizontal longitudinal support structure, the hanging apparatuscomprising: a clamp housing defining a longitudinal enclosure alongwhich are positioned a first plurality of teeth; a clamp shaftretractably positioned within the longitudinal enclosure, the clampshaft being rotatable about a central longitudinal axis; a clamp armextending from the clamp shaft; an internal shaft rotatably positionedwithin the clamp shaft, the internal shaft having a substantially flatsurface; and a locking member rotatably positioned on the internal shaftand including a second plurality of teeth, the locking member beingpositioned on the substantially flat surface of the internal shaft whenthe internal shaft is in an unlocked position, the locking member beingmoved off of the substantially flat surface when the internal shaft isrotated into a locked position, the placement of the internal shaft inthe locked position displacing the locking member radially outwardrelative to the internal shaft such that the second plurality of teethlockingly engage the first plurality of teeth.
 8. The apparatusaccording to claim 7, further comprising: first and second cam membersfixed to the internal shaft and having complimentary inclined surfaces;and wherein the locking member is positioned between the complimentaryinclined surfaces.
 9. The apparatus according to claim 8, whereinsubsequent rotation of the internal shaft after being placed in thelocked position results in a longitudinal movement of the internal shaftrelative to the clamp housing as the locking member follows the inclinedsurfaces of the first and second cam members.
 10. The apparatusaccording to claim 7, further comprising a clamp knob positioned on anend of the internal shaft.
 11. The apparatus according to claim 7,further comprising a retention spring operably associated with thelocking member to ensure that the second plurality of teeth becomedisengaged from the first plurality of teeth when the internal shaft isplaced in the unlocked position.